True Life Medicine Patient Status Form

(If you are a brand new patient and have not had your first appointment, please disregard this form, as this information is already covered in your New Patient forms.)

We are eager to see you and very much want you to get the most out of your in-office appointment time.

IMPORTANT > This is a required form for regularly scheduled appointments (NOT ACUTE) that must be completed prior to your appointment. If it’s not completed here, online, you will need to fill it out in the office and it may infringe on your face to face time with Dr. James or Jane Enger.

True Life Medicine Patient Status form

If you are human, leave this field blank.

1. First and Last Name

2. What do YOU want out of this visit?

3. Has anything changed for your health and wellness since your last appointment?

4. Have you had any changes to your supplements or medications?

5. Has anything changed in your LIFE recently?

6. As your health and wellness goals are a progressing target, please state your current short term and long term health and wellness goal(s).

7. Please share any positive or critical observation and experience regarding your recent care from the True Life Team. Help us get better!

8. If you haven't updated us recently, please list your medications and supplements.